Grand Canyon-NRS441V: The Metabolic/Bariatric Surgery Patient

Literature Review
Uchenna Ekwonye
Grand Canyon-NRS441V
Professor:
Date
Buchwald, H., Ikramuddin, S., Dorman, R. B., Schone, J. L., & Dixon, J. B. (2011). Management of the metabolic/bariatric surgery patient. The American journal of medicine, 124(12), 1099-1105
The article reviews the benefits of using metabolic/bariatric procedures to manage obesity, and the patients selected for the study had a BMI ≥ 40 kg/m. The authors considered the impact of lifelong care in enhancing patient outcomes and reducing the risk of surgery complications. Bariatric surgery was identified as a successful strategy to manage obesity, and this supports the proposed changes. Monitoring nutrition intake should be prioritized for post operative bariatric patients to individualize care and manage the obesity. Even as few studies focus on the metabolic mechanism associated with bariatric surgery, the procedure is helpful and provides insights on the etiology of obesity.
Coughlin, J. W., Guarda, A. S., Clark, J. M., Furtado, M. M., Steele, K. E., & Heinberg, L. J. (2013). A Screening Tool to Assess and Manage Behavioral Risk in the Postoperative Bariatric Surgery Patient: The WATCH. Journal of clinical psychology in medical settings, 1-8.
In addressing the problem of obesity nonsurgical and surgical methods are often use, and even as there is weight loss, there is also risk of weight gain among some obese individuals. As such, the article highlights the importance of employing a Screening tool (WATCH) administered to address the risk of weight gain, nutritional deficiencies and even disordered eating habits. The study is relevant to the proposed changes, while emphasizing the benefit of postoperative care among bariatric patients to avoid relapse. Using the screening tool is necessary to identify cases that require referral and follow up to manage the obesity better.
Crémieux, P. Y., Buchwald, H., Shikora, S. A., Ghosh, A., Yang, H. E., & Buessing, M. (2008). A study on the economic impact of bariatric surgery. Am J Manag Care, 14(9), 589-596
The researchers assessed the benefits and costs of bariatric surgery in the US for third –party payers, where obese patients who underwent bariatric surgery and those who did not were compared. To improve comparability, the cases were matched based on their close characteristics and the return on investments for bariatric surgery were $ 16,000- $ 26,000. The costs were recouped between 2 and 4 years, while there were also cost savings for bariatric surgery support. The case for bariatric surgery is that it improves patient outcome for those with obesity and is cost effective. This is consistent with need for changes to undertake bariatric surgical operations and post care management.
DeMaria, E. J., Pate, V., Warthen, M., & Winegar, D. A. (2010). Baseline data from American society for metabolic and bariatric surgery-designated bariatric surgery centers of excellence using the bariatric outcomes longitudinal database. Surgery for Obesity and Related Diseases, 6(4), 347-355.
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